Discussion: Benchmark Part B Fall in Geriatric Patients Project

Discussion: Benchmark Part B Fall in Geriatric Patients Project ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Benchmark Part B Fall in Geriatric Patients Project In Part A, you described the geriatric population and quality initiative related to your PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) statement. In this assignment, you will formalize your PICOT and research process. Bowie State University NUR 3165 Benchmark Part B Fall in Geriatric Patients Project Use the Grand Canyon University Library to Perform a search for peer-reviewed research articles. Find five peer-reviewed primary source translational research articles. Discussion: Benchmark Part B Fall in Geriatric Patients Project PICOT Statement : Among Geriatric patients in a skilled nursing facility (P) Do Implementation of hourly rounds, use of bed alarms, and nursing staff education (I) compared to use of bed alarm only (C) decrease the rate of falls (O) over 8weeks period (T)? In a paper of 1,500 words, synthesize the research into a literature review. The literature review should provide an overview for the reader that illustrates the research related to your particular PICOT include the following: Introduction: Describe the clinical issue or problem you are addressing. Methods: Describe the criteria you used in choosing your articles Synthesize the Literature: Part A: Discuss the main components of each article (subjects, methods, key findings) and provide rationale for how this supports your PICOT; Part B: Compare and contrast the articles: Discuss limitations, controversies, and similarities/differences of the studies. Areas of Further Study: Analyze the evidence presented in your articles to identify what is known, unknown, and requires further study. You are required to cite 8 peer reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the guidelines found in the APA Style Guide. Discussion: Benchmark Part B Fall in Geriatric Patients Project attachment_1 attachment_2 Benchmark Part ABenchmark Part A Introduction The geriatric population comprises the people aged 65 and above. According to Census facts (nd), the Geriatric population in the United States is increasing since the 1950s. Today, the population of elderly adults is approximately 14.9 percent, which is a 6.9 percent increase since the 1950s. The population of senior citizens is expected to grow to about 22 percent by 2050 (Census facts. nd). The growth of the geriatric population is attributed to the aging baby boomers. Matchar et al. (2019) point out that falls are among the challenges that the geriatric population experiences, which causes death and leaves most of the older people with injuries. The implementation of the combination of the hourly rounds, use of bends alarms, and the nursing staff education can help in preventing falls among older adults. Health concern Among Elderly Population Fall is the leading cause of the non-fatal and fatal injuries in the geriatric population. The fall among the geriatric population is attributable to numerous factors, including functional limitations, environmental hazards, osteoporosis, and arthritis, poor nursing care, Matchar, et al. (2019) highlight that older women more likely to fall when compared to middle-aged and young women. It threatens the independence of the geriatric population and presents financial difficulties to them and their family members. Enderlin, Rooker, Ball, Hippensteel, Alderman, Fisher, & Jordan, (2015) highlight the falls are inevitable and require intervention from both the nursing staff and the health practitioners. The CDC states that one in four older adult falls every year. Also, every 11 seconds, a geriatric patient is treated in the emergency room. The CDC statics indicate that one elderly person dies after 19 minutes due to a fall. In the United States, fall is the leading cause of non-fatal and fatal injury-related admissions among the geriatric population. Every year, over 2.8 million people are treated in the emergency department due to fall-related injuries, where 800,000 are admitted. Out of the admitted population, over 27,000 older adults die every year (Enderlin et al.,2015). The increase in the rate of falls in the country present substantial economic challenges in the country as billions of US dollars are set aside to cater to fall injuries. In 2015, the cost of fall injuries was approximately fifty billion dollars, and the cost is expected to increase by the end of this year. Nursing Science, Health Determinants, And Epidemiologic, Genomic, And Genetic Data On Fall Management There are various causes of reason that makes the elderly to fall. One of the causes of the fall is the impairments. According to Hazra, Rudisill, & Gulliford, (2018), older adults experience visual and muscle impairments, which may trigger falls. To avoid fall cases, elderly people need to live in well-lightened houses. Hauser, da Silva, de Paiva, de Souza, Cardoso, & Mazo, (2017) recommend the older adults use the cane and other assistive devices like walker to avoid falling, especially while walking. Another cause of falls in the presence of chronic health conditions like dementia, hypertension that can causes dizziness, decrease cognitive ability which causes poor safety judgement. Also, the elderly person is more likely to fall off; they suffer from the illnesses that affect their gait balance. Elderly people are more likely to suffer from diseases such as labyrinthitis, arthritis, and others, which impair their body posture ability. According to Matchar et al. (2019), nursing science involves applying nursing theories and other practical concepts to improve how health practitioners administer care to the patients and manage the patients’ health conditions. Nursing science allows health practitioners to analyzes various causes of falls in the geriatric population and comes up with the best strategies for them. It merges with other disciplines like human science, IT, engineering, and applied science. It addresses the physical and mental needs required by elderly patients to prevent falls. Health determinants influence an individual’s health status (Hazra, Rudisill, & Gulliford, 2018). Some of the health determinants that are more likely to increase the elderly fall include personal health, age, housing structure, poor safety environment, nutrition, education, availability of the health services, and physical exercises. Elderly people with low income are more likely to fall than those with a higher salary. Poor elderly people are unable to live in well organized and lighted houses, which makes them more susceptible to injuries. The educated elderly people are less likely to fall as they can access health-related information. The health determinants data allows the nurses to understand the causes of falls in the geriatric patient and devise ways to address the causes. The epidemiologic, genomic, and genetic data help the health practitioners to understand the risk factors associated with the fall. It allows us to understand how the risk of falling relates to gene composition and structure, thus coming up with an appropriate solution that prevents falls in the geriatric population. PICOT Statement and Potential solution The following PICOT question will serve as the basis for the proposed evidence-based practice project: PICOT Statement : Among Geriatric patients in a skilled nursing facility (P) Do Implementation of hourly rounds, use of bed alarms, and nursing staff education (I) compared to use of bed alarm only (C) decrease the rate of falls (O) over 8weeks period (T)? Different solutions can be applied in solving the fall in the geriatric population. One of the methods that can be applied is the implementation of hourly rounds. The hourly rounds are the strategy used by nurse practitioners to reduce the number of falls. The theory encourages the nurses to walk around the units to inspect the elderly person and at the same time attending to their needs. According to Grillo, Firth, & Hatchel, (2019), the hourly rounds allow the health providers to improve the geriatric population’s safety. Another strategy that can be applied is the use of bed alarms. The bed alarms alert the nurses and nursing staff when the patient or elderly person attempts to get out of the bed without help. (White, & Cuavers, 2018). Additionally, the nursing staff education can be used to solve this problem. The nurses are educated on the strategies that they can use to avoid fall among geriatric patient. For instance, they can be trained on how to use assistive devices to prevent falls, keep floors clear and safe, wear appropriate foot wear, give patient appropriate nursing care at the appropriate time for example, nurses can toilet patient ahead to prevent them from attempting to toilet self without help (Pop, Lamb, Livesay, Altman, Sanchez, & Nora, 2020). Incorporates Health Policies and Goals The solutions incorporate health policies and goals that support health equity for the adult population. It allows elderly people to access quality health services from health organizations. The hospitals and nursing homes take extra measures to avoid falls among the geriatric population, reducing the additional medical cost. It reduces the fall-related comorbidities among the geriatric population. Also, it focuses on minimizing the cost associated with the geriatric population fall. The nurses are educated on how they can prevent falls among older adults, which reduces the number of falls. Conclusion Fall is the leading cause of the non-fatal and fatal injuries in the geriatric population. The fall among the geriatric population is attributable to numerous factors. It results in a huge burden to both the individual patients, their families, and the nursing facility. With the increasing level of falls in the country, a huge amount of money is required to cover medical costs. The implementation of the combination of the hourly rounds, use of bends alarms, and the nursing staff education will help in preventing the fall in the geriatric population (Rooker et al. 2015). Bowie State University NUR 3165 Benchmark Part B Fall in Geriatric Patients Project References Enderlin, C., Rooker, J., Ball, S., Hippensteel, D., Alderman, J., Fisher, S. J., … & Jordan, K. (2015). Summary of factors contributing to falls in older adults and nursing implications. Geriatric Nursing , 36 (5), 397-406. Mattos, M. K., Burke, L. E., Baernholdt, M., Hu, L., Nilsen, M. L., & Lingler, J. H. (2019). Perceived social determinants of health among older, rural-dwelling adults with early-stage cognitive impairment. Dementia , 18 (3), 920-935. Hauser, E., da Silva, L. L., de Paiva, P. B., de Souza, A. C. S., Cardoso, F. L., & Mazo, G. Z. (2017). Balance in seniors who exercise, considering different levels of fear of falling. Acta Scientiarum. Health Sciences , 39 (1), 45-50. Grillo, D. M., Firth, K. H., & Hatchel, K. (2019). Implementation of Purposeful Hourly Rounds in Addition to a Fall Bundle to Prevent Inpatient Falls on a Medical-Surgical Acute Hospital Unit. Medsurg Nursing , 28 (4), 243-250. White, H., & Cuavers, K. Y. (2018). Do alarm devices reduce falls in the elderly population. Journal of National Black Nurses’ Association: JNBNA , 29 (2), 17-22. Pop, H., Lamb, K., Livesay, S., Altman, P., Sanchez, A., & Nora, M. E. (2020). Tailoring a comprehensive bundled intervention for ED fall prevention. Journal of emergency nursing , 46 (2), 225-232. Hazra, N. C., Rudisill, C., & Gulliford, M. C. (2018). Determinants of health care costs in the senior elderly: age, comorbidity, impairment, or proximity to death. The European Journal of Health Economics , 19 (6), 831-842. Matchar, D. B., Eom, K., Duncan, P. W., Lee, M., Sim, R., Sivapragasam, N. R., & Ong, M. H. (2019). A cost-effectiveness analysis of a randomized control trial of a tailored, multifactorial program to prevent falls among the community-dwelling elderly. Archives of physical medicine and rehabilitation , 100 (1), 1-8. Census facts (nd). HYPERLINK “https://www.census.gov/newsroom/facts-for-features/2017/cb17-ff08.html” Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10